| NPI | 1639369424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: AL MD.33099) |
| Additional Taxonomies | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2021-05-05 |